Hahaha can't deny it does happen though.

Not insane an effect... but if there are 4 spots and 1 spot gets taken up by nepo baby... it is a big effect to the person who would have otherwise got in.

If you're talking about residencies where they take in >20 people in a year then ok fine....
But those with less than 10...

Btw disclaimer :im talking about a fictional hospital in a fictional country called team buck two so if youre a nepo baby in the non fictional world don't come and sue me...